Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gritchalach Phophutthaprasit, AP, DOM

Individual provider Acupuncturist · NPI 1417695412

Mr. Gritchalach Phophutthaprasit, AP, DOM is an Acupuncturist in Mount Dora, Florida. Works from 3 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

3739 Lake Center Dr
Mount Dora, FL 32757-2363
Phone: (352) 729-2290
Fax: (386) 774-6333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 746 Stirling Center Pl Ste 1108, Lake Mary, FL 32746-4893 — (407) 878-7791
  • 2501 S Volusia Ave Ste 200, Orange City, FL 32763-9134 — (386) 774-6333

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AP4357 (FL)

Record details

NPI number1417695412
Entity typeIndividual (Type 1)
GenderMale
Credentials AP , DOM
Sole proprietorNo
NPI enumeratedMay 20, 2022
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023

Other providers in Mount Dora